Quorn is made from a fungus that is grown in a vat like bacteria rather than plucked from the ground like a mushroom. The chemically treated fungus is processed to simulate chicken or beef. Quorn has been available in the UK since the mid-1980s and more recently became available elsewhere in Europe and in the U.S. Quorn causes allergic reactions, including vomiting, diarrhea, and hives in some consumers.

If you believe you have suffered a reaction to Quorn, we would appreciate your completing this report form. It will only take a few minutes. CSPI evaluates and forwards reports to health authorities (without any identifying information.) Your report will be very helpful in understanding the extent of the problems caused by Quorn and in protecting other consumers.

The Center for Science in the Public Interest (CSPI) is a non-profit health-advocacy organization based in Washington, D.C. CSPI is well-known for advocating legislation that requires nutrition labels on most foods sold in the U.S. and for identifying problems related to sulfites and other food ingredients.

Your name:

Address:

Address 2:

City:

State/Province:

Zip/Postal Code:

Country:

E-mail:

Home Phone Number:

Work Phone Number: Ext.:

Age:
Sex:

What is your occupation?

Please describe the problem.

Were your symptoms:

Mild? Moderate? Severe?

When did you eat the food? (Please note date and time)

How long after you ate the food did the problems begin? (Hours later? minutes later?)

When did the problems end? (note date and time)

...or do they still persist?

Yes No

What product(s) did you eat?

Brand name

Name of product

Where did you buy the Quorn? (name of store)

About how much did you eat?

Was this the first time you ate Quorn products? Yes No

If you ate Quorn foods before, how many times and did you get sick?

Did you experience any safety problem or inconvenience because of the problem? Yes No

If so, please explain.

Did you seek medical attention? Yes No

If so, please explain.

Would you have bought Quorn if it had a label notice warning of potential adverse effects? Yes No

Might a label notice listing possible adverse effects of Quorn have helped you identify the probable cause of your symptoms?
Yes No

List any food allergies or sensitivities that you have.

Can you think of any other possible cause of your symptoms (other things you ate, medications you took, etc.)? Please explain.

How did you hear about this web site?

Did you complain to the manufacturer and/or to the retailer ?

Please provide more details:

May we provide government agencies, on a confidential basis, your contact information in case they would like to obtain more details directly from you? Yes No

Thank you for submitting your Quorn adverse reaction report. The information you provided will be useful to health authorities in the United States and in Europe, but your name will be kept confidential.